We're not yet to diabetes, but we're on the edge. My almost 5 yr old is weighing in at a whopping 35lbs. On his first birthday he only weighed 16lbs and he was actively losing weight at that point. Test after test showed nothing wrong, but clearly something always has been "wrong". For most of his life he's been hypoglycemic, usually with fasting blood sugars in the 60's. He'd wake up in the morning and be shaking so badly from low blood sugar that he couldn't hold a spoon. It's horrible to watch your 2 yr old going through that. We have controlled his diet to the point where his ped is thrilled and his nutritionist heaps praises on us as doing a great job to control his blood sugar, and we thought we'd be in the clear. We just wanted to keep him healthy and hopefully stave off diabetes. His older brother is responding beautifully to diet modifications (although he was never as sick as my youngest). Well yesterday my youngest's blood sugar at 1hr post eating was 198 and he'd had eggs for breakfast. Even 6 months ago it was in the 120's. We were sent immediately for an A1C test, which came back at 5.6 (5.7 would put him at pre-diabetic I think). They're telling me he's on the downward slope to Type 2. I'm at a loss. Before we had an action plan that was supposed to work as long as we were diligent enough. We were blessed to know early on that our kids were at risk so we could take the steps to prevent. I just don't even know what to do with an underweight child who is facing Type 2 diabetes. People (who may or may not know what they're talking about) are saying "cut all carbs" but then I run the risk of him losing more weight. We've talked about it with the ped and nutritionist but they have the same concerns, that he stops gaining weight or starts to lose weight again. We'll meet with his doctors again next week. I'm just... I don't know. I had to get it out.